| NPI | 1720630775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP05360) |
| Additional Taxonomies | 208800000X Urology (Licence: NE 8457) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-06-25 |